| Southwest Center | |
|
1101 N. Central Avenue Suite 200 Phoenix AZ 85004 | |
| (602) 307-5330 | |
| (602) 307-5021 |
| Full Name | Southwest Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1101 N. Central Avenue, Phoenix, Arizona |
| Authorized Official Name and Position | Casey Simon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6023075330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Center 1101 N Central Ave Ste 200 Phoenix AZ 85004-1844 Ph: (602) 347-0873 | Southwest Center 1101 N. Central Avenue Suite 200 Phoenix AZ 85004 Ph: (602) 307-5330 |
| NPI Number | 1104929504 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 09/02/2026 |
| Certification Date | 09/02/2026 |
| Medicare PECOS PAC ID | 3678518016 |
|---|---|
| Medicare Enrollment ID | O20050625000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104929504 | NPI | - | NPPES |
| 928418 | Medicaid | AZ |
| Provider Name | Kathleen a Smerko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366453029 PECOS PAC ID: 7214994359 Enrollment ID: I20041210000217 |
| Provider Name | Maria Antonieta Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801196175 PECOS PAC ID: 0941587786 Enrollment ID: I20170504002064 |
| Provider Name | Joy Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104363183 PECOS PAC ID: 4486931730 Enrollment ID: I20170515001912 |
| Provider Name | Paul M Hardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205313798 PECOS PAC ID: 9931445699 Enrollment ID: I20190116004004 |
| Provider Name | Vickie Renee Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954818 PECOS PAC ID: 2365782356 Enrollment ID: I20191114002752 |
| Provider Name | Chelsea D Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093194532 PECOS PAC ID: 4082040795 Enrollment ID: I20200128002080 |
| Provider Name | James T Ballentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477708071 PECOS PAC ID: 1759717473 Enrollment ID: I20200128002805 |
| Provider Name | Tanner Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629545579 PECOS PAC ID: 6002245842 Enrollment ID: I20200331000781 |
| Provider Name | Breenecia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306324769 PECOS PAC ID: 9436559614 Enrollment ID: I20210609001378 |
| Provider Name | Emily Broghan Schutsky Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699342642 PECOS PAC ID: 5799186029 Enrollment ID: I20210624001479 |
| Provider Name | Lea Nickolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471644 PECOS PAC ID: 8224435268 Enrollment ID: I20210917002349 |
| Provider Name | Heather Renae Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548900921 PECOS PAC ID: 0749668085 Enrollment ID: I20220527001430 |
| Provider Name | Colin James Colter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831756717 PECOS PAC ID: 6002141629 Enrollment ID: I20230202003116 |
| Provider Name | Rachel Ellen Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467186791 PECOS PAC ID: 2163872391 Enrollment ID: I20231229000782 |
| Provider Name | Alexandra I Hopun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174257612 PECOS PAC ID: 8628414760 Enrollment ID: I20240311003269 |
| Provider Name | Hayley Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568120681 PECOS PAC ID: 5294173407 Enrollment ID: I20240408001807 |
| Provider Name | Nicholas Saulnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790406403 PECOS PAC ID: 1850823931 Enrollment ID: I20241014003929 |
| Provider Name | Brittany Cherron Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013684505 PECOS PAC ID: 2264935246 Enrollment ID: I20250915001499 |
| Provider Name | Elijah Palles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386377455 PECOS PAC ID: 3971091059 Enrollment ID: I20251021003043 |
| Provider Name | Douglas William Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992670301 PECOS PAC ID: 9335634351 Enrollment ID: I20251217003250 |
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